Co Brand Site Registration Account Number: First Name: Last Name: Company: Email address: Website Feature Selection These features are used on our custom websites. Please determine if you would like to activate them at this time. Keep in mind that you can modify these choices after you register. 1. Would you like to use the shopping list feature? Yes No 2. Do you want to display pricing on your website? Yes No 2a. If 'yes', please complete the following: My price markup will be Dollar(s) Percent above the current price. By submitting this registration, you acknowledge that this custom website is provided to you on an as is basis and the web site provider makes no guarantees regarding the web site. The web site provider also reserves the right to terminate use of this web site for any reason. As the administrator of your custom website, you are solely responsible for any custom content. The web site provider is not responsible for any content that you include on your custom website. Please review this form and click the submit button. You will receive an email confirmation with your login information so you can start using your new custom website immediately.